Session Five Skill 4 LO Responding to We’ve Tried and Failed at Therapy

Key Concepts:

Future Casting:

  • Definition: Future casting involves discussing how past or current issues would be addressed in the therapeutic process, even if those issues are not being dealt with in the present session.
  • Application: Useful during discernment counseling and in the therapy phase to reassure clients about the therapeutic approach and potential outcomes.

Identifying Client Concerns:

  • Session Five: If a client raises concerns about therapy in session five, it often indicates they are having second thoughts or "cold feet."
  • Therapist's Role: Provide a clear sense of the therapeutic process and what will be done to address their concerns.

Handling Specific Concerns:

  • Frequency and Quantity of Sessions: Address the client's worries about the number of sessions and whether it will be enough to achieve their goals.
  • Carrying Partner's Anxiety: Discuss the client's feeling of being burdened by their partner's anxiety and explore ways to manage this in therapy.
  • Unhealthy Patterns: Identify and address toxic or negative interaction patterns between partners.

Therapeutic Approach:

  • Drilling Down on Patterns: Explore the root causes of negative interactions, including what each partner was feeling, saying, and how it affected them.
  • Shifting Patterns: Work together to find ways to change these patterns, so neither partner feels like a caretaker or critic.
  • Supporting Both Partners: Ensure that the therapy supports both partners without taking sides, and helps them understand and change negative patterns.

Realistic Expectations:

  • No Guarantees: Acknowledge that there is no guarantee of success, but emphasize the reasonable chance of positive change if both partners are willing to engage in the therapeutic process.
  • Partner's Willingness: Highlight the importance of the partner's willingness to recognize and address their issues, as seen in previous sessions.

Practical Example:

  • Client Scenario: A "leaning-out" wife who has decided on path three but still struggles with her role in the therapy.
  • Therapist's Response: Summarize the client's concerns, acknowledge their validity, and discuss how the therapy will address these issues.
  • Future Casting: Explain how past or current problems would be handled in the therapeutic process to reassure the client about the effectiveness of the therapy.

Conclusion:

By using future casting and addressing specific client concerns, therapists can build trust and provide a clear path forward in couples therapy. This approach helps clients feel supported and more confident in the therapeutic process, even when they initially have doubts or reservations.